Line of Business (LOB)

Definition

Refers to the categories of activities at BCBSKS relative to type of claim and where the money comes from to pay the claim. Examples would be Blue Cross, Medicare Part B, Blue Shield, Medicare Part A and Medicaid. Originally this was an accounting term used to identify the line or the budget being affected. Today it has carried over to help identify where the benefits fit in the patient's contract. Can also refer to the type of services paid by BCBSKS as in professional, drug, in-hospital, outpatient hospital, and dental.